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Contracting with Behavioral Health DSWs: Key Considerations for Health Plans
Behavioral health long-term services and supports (LTSS), such as health navigation, peer support, and developmental therapy, assist members in maintaining independence by coordinating resources and care, serving as mentors and personal models of recovery, and integrating appropriate developmental supports. As
[...]Published Date: April 15, 2019 -
Assessing the Capacity of HCBS Providers: Key Considerations for Health Plans
Home and community-based services (HCBS) encompass a broad range of services and supports designed to help older adults and people with disabilities live in their homes and communities rather than in institutional settings. If your health plan operates in states
[...]Published Date: April 15, 2019 -
Identifying & Engaging Behavioral Health-Focused LTSS Providers: Considerations for Health Plans
As your health plan becomes engaged with persons eligible for both Medicare and Medicaid – particularly those with behavioral health needs, developmental disabilities, or substance abuse challenges – you may find it necessary to provide behavioral health long-term services and
[...]Published Date: April 15, 2019 -
Long-Term Services & Supports – Calvin’s Story
Long-term services and supports (LTSS) comprise the range of home and community-based services and supports that allow participants to reside in their home and engage in their community. In the context of disability-competent care, planning LTSS involves identifying functional needs
[...]Published Date: April 12, 2019 -
Care Coordination – Sam and Deb’s Story
A person-centered approach is key in disability-competent care coordination. Care coordinators help participants with disabilities and chronic health conditions manage risk within the context of their personal preferences as well as their health and safety needs. Sam and Deb’s story
[...]Published Date: April 10, 2019 -
Care Coordination – Camille’s Story
A person-centered approach is key in disability-competent care coordination. Care coordinators help participants with disabilities and chronic health conditions manage risk within the context of their personal preferences as well as their health and safety needs. Camille’s story illustrates the
[...]Published Date: April 10, 2019 -
Care Coordination – Tom’s Story
A person-centered approach is key in disability-competent care coordination. Care coordinators help participants with disabilities and chronic health conditions manage risk within the context of their personal preferences as well as their health and safety needs. Tom’s story demonstrates how
[...]Published Date: April 10, 2019 -
Spotlight on Keiro Northwest: Culturally Competent LTSS
Long-Term Services and Supports (LTSS) tailored to meet the cultural needs and preferences of individuals from diverse communities can improve beneficiaries’ wellbeing and care experience. Keiro Northwest is a nonprofit organization purpose-built by the Japanese-American community that now serves the
[...]Published Date: April 6, 2019 -
Communicating With HCBS Providers: Key Considerations For Health Plans
As more states contract for managed long-term services and supports (LTSS), health plans increasingly will be required to arrange for home- and community-based services (HCBS). Establishing a written protocol for clear and effective communication methods with your HCBS providers should
[...]Published Date: April 1, 2019 -
RIC Event: Gathering and Using Member Feedback in Plan Governance
https://youtu.be/dn0G9ZI9Dng?si=aPt0Kq5L2WlPEnFr Podcast: This webinar is also available as a podcast on SoundCloud and iTunes. Members participating in health plan governance can provide valuable feedback to inform plan policies and procedures that address the needs of members and their families and caregivers.1 Following
[...]Published Date: March 27, 2019